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HRSA Begins Release of $9 Billion in Phase 4 Provider Relief Fund Payments

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On Dec. 16, the Health Resources and Services Administration (HRSA) will begin distributing approximately $9 billion in Phase 4 Provider Relief Fund (PRF) payments.

The average payment is $58,000 for small providers, $289,000 for medium providers, and $1.7 million for large providers. Applicants receiving payments will receive an email with additional details.   

Approximately 75% of Phase 4 applications have been processed. The remaining applications require additional review as part of the risk mitigation and cost containment safeguards previously outlined in the Phase 4 methodology. So far, 9,377 California providers have received approximately $900 million in Phase 4 PRF.  

Providers who have not yet received any communication about their Phase 4 and/or American Rescue Plan (ARP) rural payment determination will be notified as soon as HRSA completes the review and processing of remaining applications. HRSA anticipates distributing the remaining payments throughout early 2022.  

Within 90 days of receiving a payment, recipients must sign an attestation confirming receipt of the funds and agreeing to the Terms and Conditions of payment by re-entering the Provider Relief Fund Application and Attestation Portal. If a recipient chooses to reject the funds, they must still complete the attestation to indicate their decision and then return the funds within 15 calendar days.  

For providers who believe their Phase 4 PRF/ARP rural payment was not calculated correctly, the reconsideration process opens on Feb. 1. HRSA notes that the reconsideration process may not be used to submit an application if the original deadline was missed or to correct applications that were submitted with an error. Further details about the application process will be provided on the HRSA reconsideration process website by Feb. 1